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A twin pregnancy with a hydatidiform mole and a coexisting live fetus: prenatal diagnosis, treatment, and follow-up Cover

A twin pregnancy with a hydatidiform mole and a coexisting live fetus: prenatal diagnosis, treatment, and follow-up

Journal of Ultrasonography
Volume 17 (2017): Issue 71 (December 2017)
By: Antonio Braga,  Bruna Obeica,  Heron Werner,  Sue Yazaki Sun,  Joffre Amim Júnior,  Jorge Rezende Filho and  Edward Araujo Júnior  
Open Access
|Dec 2017

Figures & Tables

Fig. 1

A. A two-dimensional (2D) ultrasound scan shows a uterus filled with heterogeneous echogenic material. B. A 2D ultrasound scan with color Doppler shows a fetus of a gestational age of 14 weeks and a molar aspect of the placenta
A. A two-dimensional (2D) ultrasound scan shows a uterus filled with heterogeneous echogenic material. B. A 2D ultrasound scan with color Doppler shows a fetus of a gestational age of 14 weeks and a molar aspect of the placenta

Fig. 2

A. A three-dimensional (3D) ultrasound using HDlive rendering mode shows a molar pregnancy (*). B. A 3D ultrasound with HDlive showing a fetus with a gestational age of 14 weeks (arrow) and molar degeneration (*)
A. A three-dimensional (3D) ultrasound using HDlive rendering mode shows a molar pregnancy (*). B. A 3D ultrasound with HDlive showing a fetus with a gestational age of 14 weeks (arrow) and molar degeneration (*)

Fig. 3

A. Magnetic resonance imaging (MRI; coronal T1-weighted image) shows placental molar degeneration (*) and the fetus (arrow). B. MRI (coronal T2-weighted image) shows placental molar degeneration (*) and the fetus (arrow). C. Three-dimensional (3D) reconstruction from a T2-weighted true FISP sequence (coronal view) showing placental molar degeneration (*) and the fetus (arrow). D. An MRI (axial T2-weighted image) scan shows placental molar degeneration (*) and the fetus (arrow)
A. Magnetic resonance imaging (MRI; coronal T1-weighted image) shows placental molar degeneration (*) and the fetus (arrow). B. MRI (coronal T2-weighted image) shows placental molar degeneration (*) and the fetus (arrow). C. Three-dimensional (3D) reconstruction from a T2-weighted true FISP sequence (coronal view) showing placental molar degeneration (*) and the fetus (arrow). D. An MRI (axial T2-weighted image) scan shows placental molar degeneration (*) and the fetus (arrow)

Fig. 4

The material removed from the vagina, with macroscopy compatible with the diagnosis of a complete hydatidiform mole
The material removed from the vagina, with macroscopy compatible with the diagnosis of a complete hydatidiform mole

Fig. 5

Macroscopy of a twin molar pregnancy. We observed a fertilized ovum represented by normal gestation and another ovum represented by a molar placenta without a conceptual product and appendices, suggesting a complete hydatidiform mole
Macroscopy of a twin molar pregnancy. We observed a fertilized ovum represented by normal gestation and another ovum represented by a molar placenta without a conceptual product and appendices, suggesting a complete hydatidiform mole

Fig. 6

Photomicrography compatible with a complete hydatidiform mole at different magnifications, compatible with a total absence of p57kip2 (Neomarkers, Fremont, CA, USA) expression in villous stromal cells and the cytotrophoblast, which are a product of diandry
Photomicrography compatible with a complete hydatidiform mole at different magnifications, compatible with a total absence of p57kip2 (Neomarkers, Fremont, CA, USA) expression in villous stromal cells and the cytotrophoblast, which are a product of diandry
DOI: https://doi.org/10.15557/jou.2017.0044 | Journal eISSN: 2451-070X | Journal ISSN: 2084-8404
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Language: English
Page range: 299 - 305
Submitted on: Jun 28, 2017
Accepted on: Aug 16, 2017
Published on: Dec 29, 2017
Published by: MEDICAL COMMUNICATIONS Sp. z o.o.
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
Keywords:
twin pregnancy,
hydatidiform mole,
ultrasound,
magnetic resonance imaging,
staging
Related subjects:
Medicine,
Basic medical science,
Basic medical science, other

© 2017 Antonio Braga, Bruna Obeica, Heron Werner, Sue Yazaki Sun, Joffre Amim Júnior, Jorge Rezende Filho, Edward Araujo Júnior, published by MEDICAL COMMUNICATIONS Sp. z o.o.
This work is licensed under the Creative Commons Attribution-NonCommercial 3.0 License.

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